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ICD-10 Guide
ICD-10 CodesChapter 4: Endocrine, nutritional and metabolic diseasesE75

E75

Non-billable

Disorders of sphingolipid metabolism and other lipid storage disorders

Chapter 4:Endocrine, nutritional and metabolic diseases

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 E75 is a used to indicate a diagnosis of disorders of sphingolipid metabolism and other lipid storage disorders.

Key Diagnostic Point:

The ICD-10 Level 1 Category code E75 encompasses disorders of sphingolipid metabolism and other lipid storage disorders. These conditions are characterized by the abnormal accumulation of sphingolipids and other lipids in various tissues, leading to a range of clinical manifestations. Common disorders in this category include Gaucher disease, Fabry disease, and Niemann-Pick disease, among others. These disorders can result in significant morbidity and mortality, affecting multiple organ systems, including the liver, spleen, and nervous system. Early diagnosis and management are crucial to mitigate complications and improve patient outcomes.

  • Clinically, these disorders often present with symptoms such as organomegaly, neurological deficits, and metabolic disturbances. The complexity of diagnosing these conditions lies in their varied presentations and the need for specialized testing to confirm the diagnosis. Usage guidelines for E75 codes recommend that healthcare providers document the specific type of disorder accurately, as this will influence treatment options and patient management strategies. Proper coding is essential for appropriate reimbursement and to ensure that patients receive the necessary care for their conditions.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of conditions covered
  • Need for specialized testing
  • Potential for misdiagnosis

Audit Risk Factors

  • Inadequate documentation
  • Misclassification of disorders
  • Failure to capture all relevant symptoms

Specialty Focus

Medical Specialties

Genetics

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Metabolism

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical and administrative impact of the E75 code category is significant, as it encompasses disorders that can have profound effects on patient health and quality of life. Accurate coding and documentation are essential for quality measures, as they allow for better tracking of patient outcomes and the effectiveness of treatments. Furthermore, understanding the epidemiology of these disorders can aid in population health initiatives aimed at early detection and intervention, ultimately improving healthcare trends and reducing the burden of disease.
From an administrative perspective, the complexity of coding for these disorders necessitates ongoing education and training for healthcare providers and coding professionals. This ensures that they remain updated on the latest guidelines and best practices. Additionally, as healthcare systems increasingly focus on value-based care, the accurate capture of these codes will play a crucial role in demonstrating the quality of care provided to patients with lipid storage disorders.

ICD-9 vs ICD-10

The clinical and administrative impact of the E75 code category is significant, as it encompasses disorders that can have profound effects on patient health and quality of life. Accurate coding and documentation are essential for quality measures, as they allow for better tracking of patient outcomes and the effectiveness of treatments. Furthermore, understanding the epidemiology of these disorders can aid in population health initiatives aimed at early detection and intervention, ultimately improving healthcare trends and reducing the burden of disease. From an administrative perspective, the complexity of coding for these disorders necessitates ongoing education and training for healthcare providers and coding professionals. This ensures that they remain updated on the latest guidelines and best practices. Additionally, as healthcare systems increasingly focus on value-based care, the accurate capture of these codes will play a crucial role in demonstrating the quality of care provided to patients with lipid storage disorders.

Reimbursement & Billing Impact

reimbursement. Providers should be aware of the payer policies regarding these conditions, as they may vary significantly. Additionally, accurate coding can help in tracking treatment outcomes and ensuring that patients receive the necessary follow-up care.

Resources

Clinical References

  • •
    Official ICD-10 Guidelines for E75

Coding & Billing References

  • •
    Official ICD-10 Guidelines for E75

Frequently Asked Questions

What conditions are included in E75?

E75 includes a range of disorders such as Gaucher disease, Fabry disease, Niemann-Pick disease, and other sphingolipid metabolism disorders.

When should I use E75 codes?

E75 codes should be used when diagnosing and documenting any of the specified disorders of sphingolipid metabolism or lipid storage disorders.

What documentation is required for E75?

Documentation should include clinical findings, laboratory test results, and any imaging studies that support the diagnosis of the specific lipid disorder.